History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study

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• 作者：Nadia Abdala ; Fangyong Li ; Alla V. Shaboltas ; Roman V. Skochilov…
• 关键词：Physical and emotional childhood abuse history ; HIV risk ; STD clinic patients ; Alcohol use ; Drinking motives
• 刊名：AIDS and Behavior
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：20
• 期：3
• 页码：512-522
• 全文大小：778 KB
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• 作者单位：Nadia Abdala (1)
  Fangyong Li (2)
  Alla V. Shaboltas (3)
  Roman V. Skochilov (3)
  Tatiana V. Krasnoselskikh (4)
  
  1. Department of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, New Haven, CT, 06520-8034, USA
  2. Yale Center for Analytical Sciences, Yale School of Public Health, 300 George Street, New Haven, CT, 06520, USA
  3. Department of Psychology, Saint Petersburg State University, 7/9 Universitetskaya nab, St Petersburg, 199034, Russian Federation
  4. Department of Dermatology and Venereology, First Pavlov State Medical University of St. Petersburg, 6-8 L’va Tolstogo Str., St Petersburg, 197022, Russian Federation
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Infectious Diseases
  
• 出版者：Springer Netherlands
• ISSN：1573-3254

文摘

The relationship between level of childhood abuse (physical and emotional) and sexual risk behavior of sexually transmitted disease clinic patients in St. Petersburg, Russia was examined through path analyses. Mediating variables investigated were: Alcohol Use Disorder Identification Test (AUDIT), drinking motives (for social interaction, to enhance mood, to facilitate sexual encounters), intimate partner violence (IPV), anxiety, and depression symptoms. Results showed a significant indirect effect of childhood abuse on women’s sexual risk behavior: higher level of childhood abuse was associated with a greater likelihood of IPV, motivations to drink, leading to higher AUDIT scores and correlated to higher likelihood of having multiple, new or casual sexual partner(s). No significant effect was identified in paths to condom use. Among men, childhood abuse had no significant effect on sexual risk behavior. Reduction in alcohol-related sexual risk behavior may be achieved by addressing the effects of childhood abuse among female participants.